| Brand Name | ARCHITECT MAGNESIUM |
| Common Device Name | PHOTOMETRIC METHOD, MAGNESIUM |
| Manufacturer (Section D) |
| ABBOTT IRELAND DIAGNOSTICS DIVISION |
| lisnamuck |
| co. longford |
| longford N39E9 32 |
| EI N39E932 |
|
| Manufacturer (Section G) |
| ABBOTT IRELAND DIAGNOSTICS DIVISION |
| lisnamuck |
| co. longford |
| longford N39E9 32 |
|
EI
N39E932
|
|
| Manufacturer Contact |
|
nicole
jenne
|
| max-planck-ring 2 |
| post market surveillance |
| wiesbaden 65205
|
|
GM
65205
|
|
6122582960
|
|
| MDR Report Key | 22121915 |
| Report Number | 3005094123-2025-00269 |
| Device Sequence Number | 17908128 |
| Product Code |
JGJ
|
| UDI-Device Identifier | 00380740169862 |
| UDI-Public | (01)00380740169862(17)250822(10)70058UD00 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | AS |
| PMA/510(K) Number | K181748 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Health Professional |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
06/02/2025 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
No
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Health Professional
|
| Device Expiration Date | 08/22/2025 |
| Device Catalogue Number | 03P68-34 |
| Device Lot Number | 70058UD00 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 05/14/2025 |
| Initial Report FDA Received Date | 06/02/2025 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 11/20/2024 |
| Is the Device Labeled for Single Use? (Y/N) |
No
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Patient Sequence Number | 1 |
Concomitant Medical Products and Therapy/Usage Dates | ARC C16K PRC MOD, 03L77-01, (B)(6) |
| Patient Sex | Unknown |